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.- Multll-lan, -- PHCS® Find a Provider in Four Easy Steps To locate providers participating in the PHCS Network, PHCS Healthy Directions, and/or MultiPlan Network, visit www.multiplan.com and click "Search for a Doctor or Facility." Then, follow these four easy steps to identify your providers of choice. Step 1: Identify Your Network Logo. The network used by your health plan is identified by a logo on your benefits identification card. Toggle between the "Most common logos" and "Other network logos" tabs to match the logo that most closely resembles the one(s) on your card. If you see more than one matching logo on the front or back of the card, select the logo with PHCS in the name. You may select only one logo; however, if you also see the words "Healthy Directions" or "Extended PPO," please also select that option . If you have match- ing logos on both the front and back of the card, select the e.)jPHcs logo( s) on the front. __ .•. ~ . - MultiPlan Choose right kientify Your Network Logo ULogo Help To corecnv identify your heanncare network., select the logo displayed 00 your benefits 10 card. !f you see more than one matching logo 0.., the front or back of the caeo, eerect the logo with PHCS in the name. You may select only one logo; however, ii you also see the words ~Healthy Dcecucos" or -Extended PPO,~ please also select that option below f;-:, LooklngfcrCenwrs of ExceJIl!nce? Front of Card: Most cemmonloqos M. -.2%.,. ~ Click "Other network O.~PHCS 0 i;,,:r;~. logos" if you don't SAVILITY see a match on the oJi.\ - ••••• Mo~"'mmo",,,,o, M.;"3!@!\.,S!",. ~ !~o~~ bb~~~~moving o§: ..... " ... - o ·li MultiPlan Back of Card; o ~MultiPlaf) '+I,i!!,ili"Ee If you cannot determine from the front or back of the card which logo to select, click on "My logo is not here" and you will be allowed to search select providers in the MultiPlan Network, You may also call the customer service number provided on your benefits identification card for assistance. Step 2: Provider Type. Choose between Doctor and Facility, Then read and acknowledge the conditions that apply to this online search tool. Depending on your health plan, the pro- vider you select may not be available and the services you need may not be covered. Before scheduling an appointment, you should always follow ""' Contact the provider to verify new patient status, location and participation in our network. these two ste pS. -----i~~ -,~:~~~: health plan administrator or human resource manager to verify your benefit eligibility multiplan.com .- .• MultiPlan Your selected logo is displayed in the ~ blue box. Choose right Search on belO'Wlogo: ",PHCS ~ Click here to select a different logo. Choose a Provider Type Doctor: ODoctor or other healtbcare proiessiOIlal o Change Network Logo Facility: OHospitai. Lab. Imaging Center. Home Health cooter. etc Important Note: By continuing, you agree that finding a provider on this site is not a guarantes of benefits coverage. It is)'O'.if responsibility to' The oflline directory is far reference only. liWlifeevmy efforl is made to ensuro ourronl, eccware data, r:h&lgeS occur daily and may not be rof!ecfed hero. 'MN!!.!.!."

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Page 1: Find a Provider in Four Easy Steps - NMSBVI Home Resources/archive/Benefits_andMult… · Find a Provider in Four Easy Steps To locate providers participating in the PHCS Network,

.-• Multll-lan,•--• PHCS®•

Find a Provider in Four Easy StepsTo locate providers participating in the PHCS Network, PHCS Healthy Directions, and/or MultiPlan Network, visitwww.multiplan.com and click "Search for a Doctor or Facility." Then, follow these four easy steps to identify yourproviders of choice.

Step 1: Identify Your Network Logo. The network used by your health plan is identified by a logo on yourbenefits identification card. Toggle between the "Most common logos" and "Other network logos" tabs to match

the logo that most closely resembles the one(s) on your card. If you see more than one matching logo on the frontor back of the card, select the logo with PHCS in the name. You may select only one logo; however, if you also seethe words "Healthy Directions" or "Extended PPO," please also select that option .

If you have match-ing logos on boththe front and back ofthe card, select the

e.)jPHcslogo( s) on the front. __ .•.~

.-• MultiPlanChoose right

kientify Your Network Logo ULogo HelpTo corecnv identify your heanncare network., select the logo displayed 00 your benefits 10 card. !f you see more thanone matching logo 0.., the front or back of the caeo, eerect the logo with PHCS in the name. You may select only onelogo; however, ii you also see the words ~Healthy Dcecucos" or -Extended PPO,~ please also select that optionbelow

f;-:, LooklngfcrCenwrs of ExceJIl!nce?

Front of Card:

Most cemmonloqos M.-.2%.,. ~ Click "Other networkO.~PHCS 0 i;,,:r;~. logos" if you don't

SAVILITY see a match on theoJi.\

- ••••• Mo~"'mmo",,,,o, M.;"3!@!\.,S!",. ~ !~o~~ bb~~~~moving

o§: ....."...-o ·liMultiPlan

Back of Card;

o ~MultiPlaf)

'+I,i!!,ili"EeIf you cannot determine from the front or back of the card which logo to select, click on "My logo is not here" and you willbe allowed to search select providers in the MultiPlan Network, You may also call the customer service number providedon your benefits identification card for assistance.

Step 2: Provider Type. Choose between Doctor and Facility, Then read and acknowledge the conditions that applyto this online search tool.

Depending on yourhealth plan, the pro-vider you select maynot be available andthe services you needmay not be covered.Before scheduling anappointment, youshould always follow

""' Contact the provider to verify new patient status, location and participation in our network.these two ste pS. -----i~~ -,~:~~~:health plan administrator or human resource manager to verify your benefit eligibility

multiplan.com

.-.• MultiPlanYour selected logois displayed in the

~ blue box.

Choose right

Search on belO'Wlogo:

",PHCS

~ Click here to selecta different logo.

Choose a Provider Type

Doctor:ODoctor or other healtbcare proiessiOIlal

o Change Network Logo

Facility:OHospitai. Lab. Imaging Center. Home Health cooter. etc

Important Note:

By continuing, you agree that finding a provider on this site is not a guarantes of benefits coverage. It is)'O'.ifresponsibility to'

The oflline directory is far reference only. liWlifeevmy efforl is made to ensuro ourronl, eccware data, r:h&lgeS occurdaily and may not be rof!ecfed hero.

'MN!!.!.!."

Page 2: Find a Provider in Four Easy Steps - NMSBVI Home Resources/archive/Benefits_andMult… · Find a Provider in Four Easy Steps To locate providers participating in the PHCS Network,

Finding a Doctor or Facility (continued)

Step 3: Refine Provider Criteria. You will see one of the two forms shown below, depending on the type of

provider chosen. Location is required and must be entered as one of the following combinations: zip code plusdistance, city plus state, or county plus state.

Step 3 for Doctors Step 3 for Facilities

Enter search criteria 8 Search Help Enter search criteria o Change Network Logo

Location: Location:

Within t Exact, : } miles of ZIP code: !95060

or!City: j {-State: 0;County:

Within ( Exile! i,: ) miles of ZIP code: tor

",I S:c.;"c..:",-: -'-'~i[County:

Type of Doctor:Specialty: Behavioral Health: !::========::,:1,----.-.

Primary Care: 1'-========;:;- __ --'J-:!Surgery: r :l

AU Specialties: !~=======~- ••!~

Type of Facility:

o Acute Care Hospttals

o Behavioral Health & Chemical Dependency -'5<c;cI~ect"-- -'-'! ~

o DiagnosUc lab & Radiology ~...:5<:::;I-,"«,,-'_-_-=--=::_-_-_-_-_ -_-_-_-_--;<C/-

Can't Find a Soec;ialty?

Name:Doctor's Name: First:

o Home care & Durable Medical Equipment "Se::.I:;:;w::.., ••

Last:Outpatient Care '..;5<:o:I"'W"- ...:..o

More Search OptionsPhysical Therapy & Rehab ,-..;5<:::;-1.;.;.""-- -'-" ,

Facility Name:

Click here to also specify gender, languagesspoken and hospital affiliations.

Foil or Partial Name: _ (opUonal)

Step 4: Results. Providers matching your search criteria will be displayed on the page(s) to follow. Move from pageto page by clicking on the page number or Previous and Next arrows. Results are displayed in random order, but youcan re-sort them by clicking on any underlined column heading ..-MultiPlan

Choose right.Hom. About Us Solutions ~Contact Us

SearchOflbelowlogo.

PHCS

Results Q Pontei" Foendly

See Important Notice About Participating Providers Below

Click on the name to ~:~oa'~~;,V1::~,::a:~nd Page 1 uPrewms Next».

see more detail about __ --1.~~~~:m'!"'"~.JC""40LJjH~O'j""P'tti!La,h ::~~tyC:::eHOSpjtals ::~:;2~700

this provider. ~~~aS~~~~J~95065

••• Change Net ••••~ Logo

Your search criteriaare summarized

Search Criteria:

,.¥"',."" r_ "'~I------ here for yourconvenience.

Dtsplaymg t-t of 1 results found , ••• Pre'll!)Us Next» .•C<XI"lY:

TnwolfKlloty:lo.cu:oICr.o!HospaIs

FacilotyNatDtI:"Important NOle: Certain bm:tatlom regarding access totllr!> beanncere pr(Mdef may apply to your plan. BeforeseoKing care from ttus proildel". please be sure to confirm access by calling the p!"oY1der, or by calling MultiPlan ar

86&68().7427.

Provider information contained in this Directory is updated at feast weekly and may have changed. Beforescheduling your appointment or receiving services, check with the provider to confirm participation in thenetwont location. and if the provider is accepting new patients.

'U§ijiti'e,g'A Printer Friendly icon is available for easy viewing of your search results on a printed page. You may print the listed

providers or the details for a specific provider. Simply click on the Printer Friendly icon, send the results to yourprinter, and then close the window.

© 2010 MultiPlan, lnc. All rights reserved_ MKT5088 1/2010

Page 3: Find a Provider in Four Easy Steps - NMSBVI Home Resources/archive/Benefits_andMult… · Find a Provider in Four Easy Steps To locate providers participating in the PHCS Network,

Multll-ian.

PHCS NetworkChoose a primary PPO network that gives you the right balance ofaccess, discounts and quality-nationwide.

Discounts are a key feature of PPO networks, but they're not the only consideration.

Your best choice in a primary PPO is the one that offers the most effective discounts,the broadest access, and the quality that ensures a positive member experience.

The Most Effective Discounts

The PHCS Network consistently achieves the best savings in the industry-including

40% average inpatient and physician savings-by negotiating fixed fee arrangements.

For example:

~ Over 98% of individual provider claims reprice against a fixed fee arrangement.~ Nearly 60% of hospital contracts are per diem, and another 10% are DRG based.

~ Steeply rising prescription drug costs are based on the Average Wholesale Price.

The Broadest Access

Over 550,000 healthcare professionals, more than 4,000 hospitals and nearly 80,000ancillary care facilities in every state contract directly, to participate in the PHCS

Network.This means that no matter where your members live, work, and seekhealthcare, they have access to the largest independent primary PPO.in the nation.

We make this access available to you in two ways to meet the needs of all yourbenefit plan designs:

-7 Use PHCS Network for primary PPO access nationwide, and your membersget seamless access whether they seek care in their backyard or across the

country.

~ If your plan design calls for use of a local HMO, POS or PPO, use PHCSHealthy Directions to extend that local network's service area to the restof the country.

The Quality Choice

When you choose the PHCS Network, you make a choice for quality. We've earnedtwo endorsements for network quality from NCOA and URAC, two independent,

nationally-recognized quality assurance organizations. You and your members can beconfident that the providers in our network meet the most rigorous quality standardsin the industry.

multiplan.com

Also from MultiPlan:

• MultiPlan Network (nation-

al complementary network)

• MultiPlan Fee Negotiation

• HealthEOS by MultiPlan

(Wisconsin primary PPO)

• MultiPlan Centers of

Excellence network

CERTIFIEDCredentialing andRecredentialingSince August 2001

ACCREDITEDHealth Network

with CredentialingSince October 2001

••• PHCS,•

••• HealthEOS.

Page 4: Find a Provider in Four Easy Steps - NMSBVI Home Resources/archive/Benefits_andMult… · Find a Provider in Four Easy Steps To locate providers participating in the PHCS Network,

PHCS Network (as of Q1 2009)

The table below represents the number of providers in the PHCS Network as of Q1 2009. Please note:each practitioner is counted only once as primary and once as specialist (if he/she has at least one speciality)

in each state in which he/she practices.

Alabama 71 935 3,120 4,439 Montana 12 193 280 651

Alaska 7 84 19 79 Nebraska 49 504 1,107 1,951

Arizona 66 3,066 6,024 10,775 Nevada 31 1,220 1,996 3,917

Arkansas 64 761 2,260 3,561 New Hampshire 22 277 1,687 3,445

California 264 7,959 23,154 37,001 New Jersey 70 2,532 8,204 12,285

Colorado 82 1,908 3,955 8,604 New Mexico 37 582 1,730 3,648

Connecticut 31 1,130 4,813 9,791 New York 210 4,353 17,980 31,919

Delaware 6 302 665 1,138 North Carolina 91 1,800 6,189 9,249

Dist. of Columbia 10 95 1,160 2,429 North Dakota 26 72 299 1,064

Florida 167 6,314 12,190 22,722 Ohio 158 3,522 11,950 19,440

Georgia 122 2,465 7,230 11,468 Oklahoma 100 1,187 2,242 3,888

Hawaii 10 154 809 1,170 Oregon 49 775 2,542 5,656

Idaho 22 359 420 1,037 Pennsylvania 149 3,768 10,436 17,171

Illinois 185 3,523 13,153 22,193 Rhode Island 14 347 1,213 1,902

Indiana 112 1,902 5,414 9,096 South Carolina 40 1,006 2,797 4,350

Iowa 80 730 2,525 4,926 South Dakota 38 196 372 571

Kansas 105 659 2,421 4,668 Tennessee 124 2,245 6,327 12,374

Kentucky 90 1,222 3,489 6,532 Texas 391 5,979 17,709 30,520

Louisiana 135 1,845 4,392 7,607 Utah 22 506 1,330 2,890

Maine 32 365 1,124 1,883 Vermont 8 83 218 395

Maryland 49 1,621 6,045 11,215 Virginia 69 1,548 5,334 9,694

Massachusetts 89 1,405 10,575 19,012 Washington 79 1,411 4,993 10,898

Michigan 113 2,387 8,456 11,744 West Virginia 41 401 1,686 2,818

Minnesota 70 779 3,847 8,744 Wisconsin 80 930 3,998 9,044

Mississippi 78 694 2,027 3,584 Wyoming 7 157 79 183

Missouri 106 1,702 6,511 11,679 Unique Totals* 4,083 79,960 235,393 410,860

* Unique totals represent provider headcount, and for headcount, a practitioner is counted only once as PCP and/or specialist even if the provider practices

in multiple states.

Choose the PHCS Network, and give your members the benefit of quality and access with theindustry's most meaningful primary PPO savings.

.-• Multlf-lan.115 Fifth Avenue • New York, NY 10003

1-866-750-7427 • [email protected]••

• PHCS"

© 2009 MultiPlan, Inc. All rights reserved. MKT5084 5/2009 ••• HealthEOS ••